The Center for Health Equity Research (CHER) researchers, in partnership with the Coconino County Criminal Justice Coordinating Council (CJCC) and the Coconino County Detention District, have recently completed a pilot study investigating the health of incarcerated individuals in the Coconino County Detention Facility. Inmates participated in interviews about their health and healthcare service encounters, as well as biological testing for infectious disease. The researchers found that time in jail has major impacts on both the incarcerated individual’s health and simultaneously has wider-reaching impacts on public health and healthcare delivery in a community. Unlike prison populations, which are fairly stable over longer periods of time, jail populations are considerably more transient. Some jail residents are held for a few days and some for months to more than a year, with new intakes and new releases each day. The rapid turnover within the physical and social environment of jails, combined with frequent re-incarcerations, creates potential exposures to infectious diseases, interruption in the continuity of care for chronic diseases and behavioral health conditions, and potential barriers to prevention and treatment of substance use disorders. In addition, inmates may lose healthcare coverage while incarcerated, making finding affordable care for substance abuse, mental, and behavioral conditions difficult during incarceration and after release.Continue reading here.
We are proud to announce that our wonderful Director, Julie Baldwin, has been named Regents’ Professor, the highest rank a faculty member can achieve. Her impact on the health of tribal and rural communities has been significant, and her leadership and mentorship has encouraged so many to realize their dreams. As a woman and citizen of the Cherokee Nation of Oklahoma, she lights the way for others on the pathway to distinction. Julie is pictured above with her mother, Jeanne Harding.
You can read a more detailed announcement about Julie’s Regents’ Professorship here.
Come work with us!
We are seeking a Program Coordinator to support the communication objectives of the Center. This person should have great writing skills, especially in translating science and public health information into something for more public consumption, including web content, newsletter articles, social media posts, press releases, helping with some portions of grant proposals, and copy editing as needed.
Applications can only be received through our HR website; the job vacancy number is 604404. You will be asked to submit a cover letter, resumé, and writing sample. Contact Marcelle Coder, Marcelle.email@example.com, with any questions. Vacancy closes 6/11/19 at midnight!
Community-Campus Partnership Support Round 3 Applications Due June 10
Hoping to build a new partnership as an NAU faculty member or community organization? Applications are open for Community-Campus Partnership Support (CCPS) – Round 3. Developing new partnerships often requires time to discuss common interests and potential collaborative work in order to inspire potential projects. CCPS is funding intended to help support new partnership developments between potential community and university partners. A maximum of $5,000/year is available to support such partnerships. The deadline to apply is June 10, 2019, 5:00 PM, MST. Learn more at https://nau.edu/sherc/ccps/
Carmenlita Chief Presented at 10th Annual National Tribal Public Health Summit
Carmenlita Chief (Program Coordinator, Sr.) was a presenter in the Emergency Preparedness and Emerging Issues in Public Health track at the 10th Annual National Tribal Public Health Summit in Albuquerque, New Mexico from May 13-15, 2019. She shared how a Diné framework was used to examine the cultural, social and health impacts identified by Diné community focus groups that arose from the 2015 Gold King Mine Spill incident.
Annual Women’s Rural Health Symposium Presentations by CHER Researchers
The 4th Annual Women’s Rural Health Symposium Presentation Proposal will be held in Sedona, AZ (6/26 & 6/27), which aims to explore a wide variety of approaches and factors that impact women’s health and wellness. Dr. Samantha Sabo and Kelly McCue, MPH have been selected to present on their evaluation of Arizona Health Start Program (HSP). The HSP is designed as a community-based service aiming to target all high-risk mothers, which was historically located in rural communities. While HSP is now located in several rural and urban communities across Arizona, enrollees are typically underrepresented. Dr. Sabo and her team conducted a retrospective, propensity score-matched observational study (from 2006 to 2015) of over 9,600 HSP participants. Women who participated in HSP during the 10-year observation period self-selected the ‘intervention’. A comparison group of women not exposed to the Health Start Program (non-HSP) was created using a matching technique to enhance equal representation of subjects in each group. The presentation will describe the evaluation methodology including data acquisition, analytical techniques, and preliminary findings. The goal is to evaluate the impact of HSP on multiple maternal, infant, and child health outcomes to understand how HSP can be tailored to improve life-course health for underrepresented families in Arizona. Additionally, this study aims to contribute to the evidence that may help support the Department of Health and Human Services criteria for evidence of effectiveness of home visiting programs.
Dr. Ricky Camplain and Dr. George Pro will also present research on rural incarcerations in Arizona and how physical activity impacts the health of inmates. The abstract for the presentation is below.
More than 9 million Americans cycle in and out of jail each year. Although more men are incarcerated, the rate of growth for women imprisonment is twice that of men. Coconino County Detention Facility (CCDF) is of particular interest because it caters to the detention needs of a diverse rural population and provides an example of racial and gender disparities in Arizona Jails. Among women incarcerated in CCDF, there are high reports of anxiety and poor sleep quality. A single bout of moderate-to-vigorous physical activity improves anxiety symptoms and improves sleep on the day it is performed. However, 70% of women incarcerated at CCDF reported not regularly attending time dedicated for recreational physical activity. Motivating women to be physically active during rec-time may improve health conditions among women in other jail facilities of which there are 3,200 such facilities in the US.
Community Health Worker Workforce:
Assessment of the Integration and Financing of Community Health Workers within Arizona Medicaid Health Plans
In response to shifts supportive of the integration of the Community Health Worker (CHW) workforce into public health and health care systems, the Northern Arizona University, Center for Health Equity Research interviewed leadership of all Arizona Health Care Cost Containment System (AHCCCS) contracted health plans to assess innovations in CHW workforce integration and financing. View the report here.
Carolyn Camplain receives Early Career Travel Award
Project Coordinator SR. and Interdisciplinary Health PhD student Carly Camplain has received the 2019 National Institute on Drug Abuse’s American Indian and Alaska Native Drug Abuse Etiology and Prevention Research Early Career Travel Award. She will represent CHER at the Society for Prevention Research Annual Meeting in San Francisco at the end of May.
Dental Health U01 Accepted!
Researchers from the Center for Health Equity Research have received a U01 award, Research Project Cooperative Agreement from the National Institute of Dental and Craniofacial Research (NIDCR). The study aims to reduce the burden of early childhood caries (ECC) in two American Indian communities through an innovative, community based participatory approach. In collaboration with our partners, the Hopi Tribe (Arizona) and the Crow Tribe (Montana), we will adapt a “bundled” best practices oral health intervention to be locally and contextually relevant for each of our tribal communities; and conduct a randomized, controlled study to evaluate the impact of the “bundled” best practices oral health intervention on the reduction of ECC.
Flinn Foundation funds NAU microbiologist’s study to address health disparities through novel therapeutic for asthma
SHERC Pilot Project PI, Emily Cope’s study to address health disparities through novel therapeutic for asthma was funded through a $100,000 grant award from the Flinn Foundation Dr. Cope’s SHERC pilot project “Addressing asthma health disparities through diet based manipulation of the gut microbiome-airway axis” laid the groundwork for this Flinn Foundation project.
Health Equity in the Americas Symposium
(April 25, 2019)
Scholars from the US, Mexico and Ecuador shared successful international collaborative health equity research projects aimed at curbing the burden of chronic and infectious diseases in Latin America and our commitment to the health of Latin Americans in the US.
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Southwest Health Equity Research Collaborative sponsored research reported in this publication was supported by the National Institute On Minority Health And Health Disparities of the National Institutes of Health under Award Number U54MD012388. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.